Individual provider

Kolten Hernandez

Critical Care Medicine Nurse Practitioner

Kolten Hernandez is a Critical Care Medicine Nurse Practitioner in Mansfield, TX, registered under NPI 1104793652.

Getting there

The practice address on file is 2800 E BROAD ST STE 204, Mansfield, TX 76063. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2800 E BROAD ST STE 204, Mansfield, TX 76063 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
1218791 TX Critical Care Medicine Nurse Practitioner primary

This provider holds licence 1218791 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Critical Care Medicine covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LC0200X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Critical Care Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104793652 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 20, 2025
Last updatedJan 19, 2026
StatusActive
Sole proprietorNo
Practice address 2800 E BROAD ST STE 204
Mansfield, TX 76063
(682) 900-4174
Fax (682) 900-4175
This record was updated on Jan 19, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1104793652 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 7 9 3 6 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 5 9 6 6 1

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104793652?
NPI 1104793652 is the National Provider Identifier assigned to Kolten Hernandez in Mansfield, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Critical Care Medicine cover?
Definition to come...
How do I contact Kolten Hernandez?
The phone number on file with NPPES is (682) 900-4174, last updated Jan 19, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104793652 a valid number?
Yes. 1104793652 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.